Kyra Hootman Do Pc

LBN: Kyra Hootman Do Pc
Kyra Hootman Do Pc is an health care organization with primary practice located at 2001 Lake Ave , Pueblo CO 81004-3538. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Kyra Hootman Do Pc can be contacted via phone (719) 564-0300, or through Walls, Carole J via phone (719) 564-0300.

Contact Information

Primary practice address
2001 Lake Ave Pueblo CO 81004-3538
Phone: (719) 564-0300
Fax: (719) 564-0303
Website:
Map and Directions
Authorized official contact:
Name: Walls, Carole J
Phone: (719) 564-0300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38729 Colorado

Profile Details

NPI number 1558528919
LBN Legal business name Kyra Hootman Do Pc
DBA Doing business as
Authorized official Walls, Carole J
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2008
Last updated Oct 29th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558528919 NPPES
Colorado MEDICAID 89623827

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